Individual provider Active NPI

William I Anyaegbunam, MD

  • Reproductive Endocrinology Physician
  • Clifton Park, NY
National Provider Identifier
1699772624
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
205044 Issued in NY
Practice address
2 Emma LN
Suite 202
Clifton Park, NY 12065-3763
Phone
(518) 881-1888
Fax
(518) 881-1893
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 205044 NY
Reproductive Endocrinology Physician 207VE0102X 205044 NY Primary

Addresses

Primary practice location

2 Emma LN
Suite 202
Clifton Park, NY 12065-3763

Mailing address

2 Emma LN
Suite 202
Clifton Park, NY 12065-3763
Phone (518) 881-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420001036 NY Practitioner - Obstetrics/Gynecology 1951396068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ellis HospitalGroup PAC ID 5890607410, 250 clinicians

Practice addresses (Care Compare)

1101 Nott St
Schenecctady, NY 12308-2425
Phone (518) 243-4000

939 Route 146
Suite 810
Clifton Park, NY 12065-3694
Phone (518) 881-1888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
205044NYMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Hospital CurrentSince Sep 1, 2012 Accepting new patients
Complete Women'S Care of Clifton Park PLLC Obstetrics & Gynecology CurrentSince Oct 1, 2003 Accepting new patients
Community Care Physicians, PLLC Obstetrics & Gynecology Past Accepting new patients
Community Care Physicians, PC Obstetrics & Gynecology PastSince Aug 2, 2013 Accepting new patients

Locations

939 Route 146
Ste 810
Clifton Park, NY 12065
Phone (518) 374-1444

2 Emma Ln
#202
Clifton Park, NY 12065
Phone (518) 881-1888

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000

1044 State St
Schenectady, NY 12307
Phone (518) 370-1441

624 McClellan St
Ste 101
Schenectady, NY 12304
Phone (518) 347-5043

2210 Troy Schenectady Rd
Schenectady, NY 12309
Phone (518) 346-6400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1699772624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EMMA LN",
            "address_2": "SUITE 202",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653763",
            "telephone_number": "518-881-1888",
            "fax_number": "518-881-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EMMA LN",
            "address_2": "SUITE 202",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653763",
            "telephone_number": "518-881-1888",
            "fax_number": "518-881-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYAEGBUNAM",
        "first_name": "WILLIAM",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "205044",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "205044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.